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HomeMy WebLinkAbout24026-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25624 Date: 04/01/98 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 1585 LONG CREEK DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 7 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 14, 1997 pursuant to which Building Permit No. 24026-Z dated APRIL 1, 1997 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ADDITION AND ALTERATION TO AN EXISTING ONE FAMILY DWELLING. The certificate is issued to THOMAS TYREE (OWNER) of the aforesaid. building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 04/03/98 PLUMBERS CERTIFICATION DATED N/A Buil ng ins for Rev. 1/81 rolmm NO. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 24026 ,Z Date ............G /................................. Permission is hereby granted to: �}t�z `�S7-.4✓✓ ..... ! P ....... ..s �� D..... ..!✓ .. al /fgox16 7 f 45...... -...... .............. to ..f�J 4�...,. ?...t! {��f�........i� �4.........� 1.... .1/?..-2��i ... t✓ i�........... / / ..... r..Gni.........1��r,. .�r.F./..lc%`f..............'�... /J�''��.-( 1... ........ .r......................... .............................................................> .1............................................................................................... ................................................................................ ................................ ................. .. ...... .............. at premises located at.......... �o`. / �_ ! f�....,1�/ :..t............. .. q�(�4f' ................r!s L' ...... .... . 77 ..... County Tax Map No. 1000 Section y�J. ............... Block ...®l............ Lot No. .....�3.......... pursuant to application dated ...:r:/"�kc-.O ....1..?`..IA................... 1917 and approved by the Building (Inspector. Fee 5... l.S..6?-........ ..................... ............................ / uil g Inspector Rev. 6/30180 U13LDG. Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 TOM OF 50 OLD APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. - For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '.'pre-existing" land uses: , 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.`00, Commercial $15.00 e . .`.�`.�\`�. . .. . . . . . . . . . . . . . . . . . . . . . . . . New Construction. .. . .. . .. .. ld Or Pre-existing Buildin ... . . . .. . . . . . . . . . Location of Property. \A!. 5 .. .. .S 3�5�. . .�. .. . �. . . .. . . . . . . . .S.a �c7�?� �•. . . .\� \1,/ House No. Street Hamlet Onwer or Owners of Property.. . . . . . . . . . . . , , , , , , , , , , , , , , County Tax Map No 1000, Section. . . � . . . . ..Block. .. . .1.q . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . Subdivisions. . . . . . . . . .. . . . . .. . .. . . . . .. . . . . .I. . .. .Fcciled Map. . . . . . . . . . . .Lot. . . . . . . . . .rr. . . . . . . . . . . . Permit No a. zZ . . .Date Of Permit. ?.:�:. .0 . . . .Applicant. .?� �S4TN.�.Ry� S<< . Health Dept. Approval. . . .. . . ... . .. . . . .. . . . . . .. . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . .. . ... . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . cl 7-- �) 5 gay 1 S J)5 ,4 APPLICANT 8LD INSPECTION REPORT DATE COMMENTS II II — II II ii - 1-01UNDATTON ( IST) III ' II n II � —n Iti Ii •v FOUNDATION (2ND) t AOUGS FRAME PLUMBING 1I 1 II p I�1 II II _ I - INSULATION PER N. Y. — Ii 74 STATE ENERGY CODE u--yl ii n t I n FINAL BII II � •//jj e 4 ' ADDITIONAL COMMENTS: i i � a i J I I x z THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 r8070538 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 r Date APRIL 10,1998 Application No. on file 1577129$/98 H 059453 THIS CERTIFIES THAT r only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of THOMAS TYREE, 1585 LONG GREEN DRIVE, SOUTHOLD, NY in the following location; ❑ Basement ❑ Ist Ft. Q 2nd Ft. Section Block Lot APRIL 02 1998 t was examined on + and found[o be in compliance with [l+e National F.Ieclricn!Cade. L FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS IINCANDESC Tj FLUORESCENT I OTHER AMT. K.W. AMT. K.W. AMi. K.W. AMT. K.W. AMT. H.P. i DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL RECTT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS Ir SYSTEMS I AMi. K.W. OIL H.P. GAS H.O. AMi. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS L r SERVICE DISCONNECT NO.OF S E R V I C E - METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT, AMP. TVPF EQUIP. 1 0]NI 1 ® 3W 3 0 SW 3 0 4W PER 0 OF CC.GOND. NO.OF HI-lEG OF HI-LEG NO.OF NEUFRALS OF NEUTRAL - OTHER APPARATUS: SMOKE DETECTOR ONLY-1 SMOKE DETECTOR:-1 THOMAS R. TYREE fob , , L 1585 LONG GREEK DRIVE SOUTHOLD, NY, 11971 GENERAL MANAGER N11 Per This certificate must not be altered in oily manner; return to the office of the Board if Incorrect. Inspectors may be Identified by their credentials. lim COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. z/v�� � 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: D,lzlr- DATE Y' -Z 9 INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ l FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE� � INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: O 4pz , ��Jrv�P G9�JJ22i! o� �- , S DATE INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] F UNDATION 2ND [ ] INSULATION ( FRAMING [ ] FINAL [ ] FIREPLACE & CH MNEY REMARKS: DATE' INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] R GH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 7 INSPECTOR FLOOD ZONE LINE FROC9 'RM CChIMU,'11"I" FAI vL� rvv. 360813 007E F AL&. 116,!993 A G ° \Q / O.H. rn 5° �$ 010 $ 6' 'Pc % t e1 LOT 7 tit P \ LOT 8 0 9prJ E E 0 b 0- pt4 Ul N c. g O W ae.� Z �•. s' Q z oI:;:� I N-j Hyl t. 7 Q 9i ON c 'Sat 5l, �t a � 140 1g15 W ,tea ' �b 8 �3,gSOQ, sef S y5 3 5o cam' ct� DO,V sc"&t) 8' r+K ONV Tc GREEK bit �„ L CERTIFIED r0' THOMAS TYREE HORIZON FINANCIAL SURVEY OF rOMMONWEALTH LAND TITLE INSURANCE COMPANY ANY ALTEAATxW OR AW7XV TO Tris surVEY ASA VIOLA MY LOT 8 OF ZC7 M 7209 OF rW" YORK STATE'MCA r&W LAW, _;carr As PET SECWH 7209-SWIM v z ALL CERTFICATXM " SUBDIVISION MAP OF hUFM SAV PORCWES" PCi ssAAV m�OF7W"VEYOR LONG POND ESTATES - SEC. ONE WHOSE'MM fLff APPEARS FERECK 4OP1rV ALLY FOCOMPLYWINis/,Y LAW M rERll -AL r&7MBY' FILED DEC. 27, 1985 FILENO. 8037 AW r B_!USED PY ANY AAD A' • ':1; VEYORS UM Ns A COPY AT S O U T H O L D OF ANOW SC3VEYOR'S APAP. rT RHS S'XN AS 'NSPECIEO'ANSA '8R0UWr-r0-D4TE'ARE mora,.,WPYU . rWrH Ire LAW. TOWN OF SOUTHOLD ce�� Dt MFldl'�� SUFFOLK COUNTY , N .Y. zaep 1000 - 055 - 07 - 03 N. LIC. NO. 49618 ( SCALE I" = 40 ' FEB . 5 , 1987 PE kd, f V OR - P.C. July 21, 1y87 (516 An502� � a P 30 9 �' '7' AREA = 42 , 747 SQ. FT SOUTHOL /971 "ERT 6/61.96 OR 0 . 98f AC . CERT, 01/27/94 87; - 132 BOARD OF NRALTH . . . . . . . . . . . . . . . - -- A ( nn FORM N0. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . a BUILDING DEPARTMENT CNRCR . . . . . . . . . . . . . . . . . . . . . . . . . MM 14W7 ,�.._. TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . E& SOUTHOLD, N.Y. 11971 i TEL: 765- 1802 NOTIFY: CV-Av. r1 . AV-M BLDG.DEPT: !d itdL TOWN OF S UT,tOr O CALL 7 . . . . . : . . . . . . . . . Pxmuheol...... ../...... 19. ...� (! ,..2_ MAIL, TO: (,Q,h:� !"^: '•'� . . . . . Approved.......7•'/1....., 19?� Permit No. ro�... ..........I.o .......... .... .. .o ...... Disapproved a/c .................................. ............................................. di Inspector) APPLICATION FOR BUILDING PERMIT ' Date. l INSTRUCTIONS n. This application most be carvip]etely filled in Iry typewriter or in ink and submitted to the Building Inspector wit 3�sets of plans, accurate plot plan to scale. Fee according to schedule. h. Plot plan slxrwing location of, lot and of buildings on premises, relationship to adjoining, premises or public streets or areas, and giving a detailed description of laynut of property must be drawn on the diagram which is part of this application. c. 'fire work covered by this application ray not be cam enced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on lire premises available for inspection thraot ut the work. e. No building slmll be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted-by the Building, inspector. APPL1(AfION IS HEREBY M IE to the Building Department for lire issuance of a Building Permit phrsunnl to the Building 7one Ordirvn)ce of the Tam of. Southold, Suffolk Camty, New York, am] other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all app] icabl.e laws, ordinances, building code, housing code, and regulations, and to admit aotixrr fixed inspectors an premises and in luilcling IF necessary inspections. _... .{'.. ......................... ........ (Si, K Kure of applicant, or nave if a corporation) (Mailing address of applicant) State wlxtlher applicant is owrher, lessee, agent, architect, engineer, general contractor, electrician, plomher or builder ................................................................................. Name of owner of premises ..tn�R...�1 ta�?Y ..�.T?a*...... ............................. ........................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly autorized officer. ......................................................... (Nam and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ...... ............... Other Trade's license No. .................... 1. location of lard on which purposed work will be done.............................................................. �`.... ....._..�...... ..._GR..... �ry ic........................ �St ...................................... lkxhse Nardner •..•Street Hamlet CAmty Tax Map No. 1000 Section .....5S....... Black ....7........... bot ....3.......... Subdivision ...................................... Filed Map No. ............... lot ............... (Nam) 2. State existing use and ocorpanx- y of premises and intended use and occupancy of proposed construction: a. Existing use and Occupaaxy . .......fL��S'.ori-Yfn?v�................................................... b. Intended use and occupancy ......... .................................................. }, Ildnre of lxak Wieck khi(h a{hdicable): tknt Rnilding . .... ... .. Nklilinu ..00. . . . hil Meal iun . . . . . .. . . . Ih!lalir ......... ... Italwal . .. .... ... .. . Dcvnl it ion .. .. ...... .. Other link ....... ... ...... ...... ... ... ... .... 4. list blvdMi ('nsl ......... fee ............. ............................ ..... (lo Ile paid on fill"{; this application) 'i. If (h xa ling, IrOil er of (Melt iI InliIs .. . .. ... . .. . li.rllxer of (ha.11hlg units (n Mich floor .. . . . ... . .. .. ... If garage, nualler of cars ... ..... . . .... . ... ................... . 6. If Irlsilrss, cnnlerclyd or mLMI (x:cllnlwy, specify nalune mul exleuL of each type of use... .. .. .... ........... ). Dimunsi(ns of exist LOU sLnu:Urtes, if any: Front.. . 1. . .. . ... .. heir . ��.... ....... Depth ..31-A.. ......... nq 1 Ik:i(IILL . ......p�.............. Nniler of St Dile" IN .. Di"erasions of stole slrix:Lure with tdterati(ns or tukl{Linnn: Front . . .3.(. . .. ..... Rear . .r✓.I. . .. . .. ... Ikplh .....3 L:1....... ..... lleight .. .. .... .. .. ..., , 13,nl x:r of Stories .&yZ ........ R. Diunnsions of entire new minstimt ion: Fant . . .. . ....... .. .. !tear .. . . . . . . .... ... Depth . .. .. . .. .. . . .. Ik:if;hl .... ..................... Cirliler of 5luries 61.1Jr.ptplXfoM To _ Do52'vl'C�L) 9. Sire (If lot : Front ........... ..... . ... IteHr ... ... ... .. .. . .... .. Depth . . .. .... ... ... . .. ... 10. Itile of 1111'011me ................. ... . Nati: of Fntner OAwr ..... ... . . . ... ... ....... ... . ... ... ..... . II. Vone or u:u: dislri(A in tAlhil 1,1011i6ea lire situated ... .. . ... .... ... .... ... ..................... ... . ..... ...... . . . 12. Ones proln:u:d consttnA ion violate any xtning ltu, ordiamx:e or regulat ion: . ...fits?... ... ... .. . ... . I'1. Will IOU Ix: reglOded ....WP.. ...... .... Will excess fill Ile rl:tlr Vee fern prolds,61; YES M. N:nlcs of (tiler of prenises Nviresal.nor.?.l�t;+laGkK�:K.•PF:1?!E...... [1sn v. t4nr! of Arcliltecl -.'tool. .l i .. ......... .... ..... (vklress !.9 .. .. . I�.05�:. liiiia No. 1�..'&..N, ibne. of ('ail Ona or ......... ...... . . ..... ...... ... .... fvklless .. . ... ... .......... . ...... ... ..Mone til. ... . ... . . . h. Is this projerly within 3W feet of a tidal mthin 1Y A YNS X .. .. .. NO . ..... ... . AIF us, J' XFIIKNI) -inm -11anI1LS Niltlll'1' INY Rli lagplltim. PLOT DIAGRAM I txaa a clearly and distinet-ly all Inildings, %Alether exist.ing or prolnsed, coal indicate all set-iux:k dimensions film plullerty linea. Give street nixi bhxi: biller or descr ipLitn according to deed, and shmi street. "men Had indicate wild lir inter for or connr lot. MKII: 01; 19:W Y(m, ti:i (11AINIY lA. ...... ... ... ...... ..... t�!).•..ASM.?..... ... ... ... .... .... . . . ...Ix!iug July r.�.an n, dein.^,es Had says that: Ile is the applicmll (None III hitliv Idmil signing conlracl) all ve molvd, lk! Il: tlx: . ... .. 'Af 6!l!- ..... ... .. .... .. . . .... .... ..... . .. . ... .. . .. .. . . ... ...... .. . ... ... ...... ..... (Untltnctur, ngetlr, collnrnle Officer, ele.) Of raid l.nxtr on Vdllrva, Had is duly aulhntized to ["Munn OI have levroried the said wl th tax[ to nolle Had fill! this applicnlinn; IhaL all atatenenLe coldah"I in this application ate line to file Ix!l;t- of his klxntllalge Had Inlief; and livailhe (Alk will he perfonaxl in the nvuoxtr net forth ill like applient.iou filed [herewith. .`lain tO Ixtrule ole Illi.^, n . . .. ./.0T... .. . . . Aly of .09-No {�.M1M1_.. . 19. .7• .7. NIII.:uy Unblic .. c:C�.. �[?<>'iQ4-:U......._ S il,nai Ole of App! icmnl) (.NIDA J.COOPER NNr 4822663 Suffolk t�te of p ntyF Trrtn expires December 3'1,78_-- F , I - I _ ^+1r i - ..., . ,pNDENWRIEQU R pIFICA7E - OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE, OF OCCUPANCY - APPROVED AS NOTED o . . DATE: H.P.N,- .. - — .. .� _ FEE. FY BU_ dY: - , NOTIFY BUILDING DEPART _ 766-1802 9 AM TO 4 PM FORTHE - - - FOLLOWING INSPECTIONS: - 1. FOUNDATION • ,TWO'REQUIRED P EY FOR POURED CONCRETE 2. ROUGH FRAMING & PLUMBING _ - 3. INSULATION t , 4. FINAL - CONSIRUGTION MUST - BE COMPLETE FOR C.O. - _ ALL CON$I'FIJCTION SHALL MEET-' J: t THE' REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES, NOT PESP0 NSIBLE FOR - - - DESIGN. OR CONSTA'UCTION ERRORS_ "(: POS:, _ ,_R 2. ROUGH i NG & PLQk., G .. I 3. INSULAT r ,II IA MPLETOE FOR C. ?ION M,4.ET AL CpNSTFlUCTION SH L-,FMEET ' T REQUIREMENTS' OF 'N.Y. , - TATE tiON$TRUCTION., &' E flGV.. CODES. ' NOT '.RESP..ONSI6LE' . A DpSIGN OR CONSTRUCTION ERRb I ti r � p 4, Ge I 1 i 4 1 1 S 1 , 4` f 1� r 1. !t • � r I' Q, IT r � t tl „. . �,, f7p�44 AW r.'.,i ., 1.. ., e. 'L . . e..r ..i '� ; I, n n v .n, ,. 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